KATHRYN C PODGORNY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048727

License Status

EXPIRED

Business

First Name

KATHRYN

Middle

Last Name

PODGORNY

Business Name

KATHRYN C PODGORNY

Original Issue Date

07/14/2004

Effective Date

07/14/2004

Expiration Date

07/13/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/25/2007